HomeMy WebLinkAboutBuilding Permit Application All APPLICABL INFO UST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
`l Date: /7 1a70a 0
Permit Number:
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Planning and Development Services Building Permit Application
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Residential X
Phone. (772)462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR: Window & Door
PROPOSED IMPROVEMENT LOCATION:
Address: 10979 Wetland Way, Jensen Bch FL 34957
Property Tax ID#: 4509-802-0004-000-4
Site Plan Name: Lot No. 4
Project Name: Savannah Preserve Block No.
DETAILED DESCRIPTION OF WORK:
Install 2 Impact Windows&2 Sliding Glass Doors
New Electrical Meter Second Electrical Meter
[CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
—Mechanical _Gas Tank —Gas Piping Shutters
— �Windows/Doors Pond
—Electric — Plumbing _Sprinklers Generator
— Roof Pitch
Total Sq. Ft of Construction:
2 Sq. Ft. of First Floor:
Cost of Construction:$ / 7r a 5,Q, 00 Utilities: —Sewer _Septic Building Height:
ffAddress:
AESSEE: CONTRACTOR:
t Imp Trust Fund Name:John Zervopoulos
900 Commonwealth BlvdAdvanced Hurricane Protection
City: aahassee Company:
Stater Address:4517 SE Commerce Ave
Zip Code: 32399 Fax: Stuart
Phone No. 772-340-7530 City: State:FL
Zip Code: 34997 Fax:
E-Mail:christopher.vandello@floridadep.gov Phone No 772-220-1200
Fill in fee simple Title Holder on next page (if different E-Mail John@advancedhurricane.net
from the Owner listed above) State or County License CBC1259339
If value of construction is 2500 or more,a RECORDED Notice of Commencement is required.
If value of HAVC is$7,500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: - - -— —State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: —Not Applicable BONDING COMPANY: ,Not Applicable
Name: _ Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit,I do hereby agree that I wilt,in all respects, perform the work
in accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review:room additions,
accessory structures, swimming pools,fences,walls, signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorne b e commencing work or recordin our Notice of Commencement.
S nature a r/Lessee/Contractor as Agent for Owner gnatu actor/License Holder
STATE OF FLORIDA STATE FLORIDA
COUNTY OF Mwo COUNTY OF star:�
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
X Physical Presence or Online Notarization x Physical Presence or Online Notarization
this 17th day of 2020 by this 17th day of August 2020 by
John Zervopoulos John Zervopaulos
Name of person making statement. Name of person making statement.
Personally Known x OR Produced Identification Personally Known X - OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signat re of Notary Publi t t o I ri a (Signatulre of Notary Publi te of Florida)
.*Y! Notary Pup:ic 51ate of Flmda Y° Noiaq��
Commission No. GG1 8liSSa Jaal=9�01dt Commission No. GG133395 =� tvtefi$sa A Mate Of Ronda
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My Gorrnssian GG 133395 r o My Commission GG 133395
N�iE' , oaf Expires 081101 21 It
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE A
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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RECEIVED
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COMPLETED
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